Meningitis crónica autoinmune secundaria a meningitis aguda por neumococo. Caso clínico

Pneumococcal meningitis produces several inflammatory disorders in susceptible subjects. A worsening of meningitis can occur on the fourth day of evolution in relation with the withdrawal of steroids. Other complications include the development of inflammatory signs in the post-acute stage of infect...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Cea,Gabriel, Barria,Silvia, Leiderman,Victoria, Cartier,Luis
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2019
Materias:	Hydrocephalus Meningitis Meningitis, Pneumococcal Streptococcus pneumoniae
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000600803
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:scielo:S0034-98872019000600803
record_format	dspace
spelling	oai:scielo:S0034-988720190006008032019-08-28Meningitis crónica autoinmune secundaria a meningitis aguda por neumococo. Caso clínicoCea,GabrielBarria,SilviaLeiderman,VictoriaCartier,Luis Hydrocephalus Meningitis Meningitis, Pneumococcal Streptococcus pneumoniae Pneumococcal meningitis produces several inflammatory disorders in susceptible subjects. A worsening of meningitis can occur on the fourth day of evolution in relation with the withdrawal of steroids. Other complications include the development of inflammatory signs in the post-acute stage of infection associated with disseminated vasculitis of the cerebral blood vessels and, even later, an autoimmune chronic meningitis. All these inflammatory complications are well controlled with the use of steroids. We report a 53-year-old woman with pneumococcal meningitis that had a good response to treatment with antibiotics and steroids. On the four day, after the steroids were discontinued, she complained of headache, became confused, and had an abnormal cerebrospinal fluid (CSF), report CT angiography showed signs of arteritis. She improved when the steroids were re-started. She was discharged in good condition but after slow tapering of the steroids over a four-month period she had a relapse of all her symptoms and had a gait disturbance. On readmission, she had an inflammatory CSF, there were no signs of infection and the cerebral MRI showed meningeal thickening with ventricular space enlargement. She improved again with steroids and she is now well on high-dose steroids but deteriorates each time the steroids are stopped. She experienced both acute and sub-acute inflammatory responses and finally developed a chronic meningitis responsive, and is dependent on steroids.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.147 n.6 20192019-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000600803es10.4067/S0034-98872019000600803
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Hydrocephalus Meningitis Meningitis, Pneumococcal Streptococcus pneumoniae
spellingShingle	Hydrocephalus Meningitis Meningitis, Pneumococcal Streptococcus pneumoniae Cea,Gabriel Barria,Silvia Leiderman,Victoria Cartier,Luis Meningitis crónica autoinmune secundaria a meningitis aguda por neumococo. Caso clínico
description	Pneumococcal meningitis produces several inflammatory disorders in susceptible subjects. A worsening of meningitis can occur on the fourth day of evolution in relation with the withdrawal of steroids. Other complications include the development of inflammatory signs in the post-acute stage of infection associated with disseminated vasculitis of the cerebral blood vessels and, even later, an autoimmune chronic meningitis. All these inflammatory complications are well controlled with the use of steroids. We report a 53-year-old woman with pneumococcal meningitis that had a good response to treatment with antibiotics and steroids. On the four day, after the steroids were discontinued, she complained of headache, became confused, and had an abnormal cerebrospinal fluid (CSF), report CT angiography showed signs of arteritis. She improved when the steroids were re-started. She was discharged in good condition but after slow tapering of the steroids over a four-month period she had a relapse of all her symptoms and had a gait disturbance. On readmission, she had an inflammatory CSF, there were no signs of infection and the cerebral MRI showed meningeal thickening with ventricular space enlargement. She improved again with steroids and she is now well on high-dose steroids but deteriorates each time the steroids are stopped. She experienced both acute and sub-acute inflammatory responses and finally developed a chronic meningitis responsive, and is dependent on steroids.
author	Cea,Gabriel Barria,Silvia Leiderman,Victoria Cartier,Luis
author_facet	Cea,Gabriel Barria,Silvia Leiderman,Victoria Cartier,Luis
author_sort	Cea,Gabriel
title	Meningitis crónica autoinmune secundaria a meningitis aguda por neumococo. Caso clínico
title_short	Meningitis crónica autoinmune secundaria a meningitis aguda por neumococo. Caso clínico
title_full	Meningitis crónica autoinmune secundaria a meningitis aguda por neumococo. Caso clínico
title_fullStr	Meningitis crónica autoinmune secundaria a meningitis aguda por neumococo. Caso clínico
title_full_unstemmed	Meningitis crónica autoinmune secundaria a meningitis aguda por neumococo. Caso clínico
title_sort	meningitis crónica autoinmune secundaria a meningitis aguda por neumococo. caso clínico
publisher	Sociedad Médica de Santiago
publishDate	2019
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000600803
work_keys_str_mv	AT ceagabriel meningitiscronicaautoinmunesecundariaameningitisagudaporneumocococasoclinico AT barriasilvia meningitiscronicaautoinmunesecundariaameningitisagudaporneumocococasoclinico AT leidermanvictoria meningitiscronicaautoinmunesecundariaameningitisagudaporneumocococasoclinico AT cartierluis meningitiscronicaautoinmunesecundariaameningitisagudaporneumocococasoclinico
_version_	1718437070201946112

Meningitis crónica autoinmune secundaria a meningitis aguda por neumococo. Caso clínico

Ejemplares similares